CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$55
about 0.6× the $95 Medicare rate · typically $41–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
Below the fair price — a good deal
about $14 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $55 This hospital $41 Cash price $221 Hospital's list price $357

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 2 charge more and 3 charge less, among the 9 PA hospitals compared.

Cheapest $25 Priciest $42

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $55 (about 0.6× the $95 Medicare rate). Geisinger-Bloomsburg Hospital charges insurers about $41, or about $221 in cash — below the fair price — a good deal. Located in Bloomsburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $57 - $199 60%
Aetnamajor $135 - $229 142%
Humanamajor $303 318%
AmeriHealth $40 42%
Geisinger $36 38%
HealthPartners $42 44%
UPMC Health Plan $41 - $44 43%
+ 2 smaller / regional plans $143 - $250
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 549 East Fair Street, Bloomsburg, PA 17815
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals